Provider Coding Educator & CPT/ICD-10 Trainer

Prisma Health; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

Prisma Health in the United States seeks a skilled Medical Billing & Coding Specialist to ensure accurate provider service coding per CPT, ICD-10 and HCPCS guidelines. You will educate clinicians, perform audits, and support staff with coding education and training sessions.

You will maintain current certifications, stay updated on regulations, and collaborate with Compliance and Education Services to improve coding accuracy and revenue integrity across the physician practice.

Qualifications

• Bachelor’s degree in Business or related field required.
• Three years billing and/or coding experience required.
• In lieu of degree: associate degree with 5 years coding/billing experience or HS diploma with 7 years.
• CPC certification required.

Responsibilities

• Code provider services according to CPT, ICD-10 and HCPCS guidelines.
• Educate providers and coding staff on proper coding practices and guidelines.
• Review physician charges and respond to coding questions in a timely manner.
• Maintain compliance with applicable laws, rules and regulations.
• Coordinate instruction for PMCC Coding Curriculum if applicable and update knowledge.

Skills

Data entry

Education

Bachelor’s degree in Business or related field of study

Associate degree with 5 years coding or coding/billing experience in a professional billing setting

High School Diploma with 7 years coding or coding/billing experience in a professional billing setting

Job description

Prisma Health in the United States seeks a skilled Medical Billing & Coding Specialist to ensure accurate provider service coding per CPT, ICD-10 and HCPCS guidelines. You will educate clinicians, perform audits, and support staff with coding education and training sessions.

You will maintain current certifications, stay updated on regulations, and collaborate with Compliance and Education Services to improve coding accuracy and revenue integrity across the physician practice.